Individual
DR. NICHOLAS SHOCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
3311 W CLEARWATER AVE, SUITE C-200D, KENNEWICK, WA 99336-2710
(509) 491-8191
(509) 396-7556
Mailing address
PO BOX 5054, PASCO, WA 99302-5054
(804) 972-6816
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
60315203
WA
Other
Enumeration date
12/13/2011
Last updated
05/08/2013
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